NPIMap

Individual provider Active NPI

Laila G Hanna, MD

  • Internal Medicine Physician
  • St Louis, MO
National Provider Identifier
1336157692
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
119992 Issued in MO
Practice address
5471 Dr Martin Luther King Drive
St Louis, MO 63112-4265
Phone
(314) 367-5820
Fax
(314) 367-6326
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 119992 MO Primary

Addresses

Primary practice location

5471 Dr Martin Luther King Drive
St Louis, MO 63112-4265

Mailing address

5471 Dr Martin Luther King Drive
St Louis, MO 63112-4265
Phone (314) 367-5820

Other identifiers 1

IdentifierTypeStateIssuer
205382419MedicaidMO

Other names 1

  • Ms. Laila G Awad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000182 MO Practitioner - Internal Medicine 8820093131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carestl HealthGroup PAC ID 1557269289, 14 clinicians

Practice addresses (Care Compare)

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820

Hospital & facility affiliations

  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
119992MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carestl Health CurrentSince Jul 11, 2006 Accepting new patients
Carestl Health Current Accepting new patients
Carestl Health CurrentSince Jul 11, 2006 Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients
SSM St. Joseph Hospital West Internal Medicine Past Accepting new patients

Locations

5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221

7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070

Interoperability endpoints

  • Direct secure messaging: laila.hanna@cstl.eclinicaldirectplus.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1336157692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 DR MARTIN LUTHER KING DRIVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631124265",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 DR MARTIN LUTHER KING DRIVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631124265",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "LAILA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "119992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205382419",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAILA",
            "last_name": "AWAD",
            "middle_name": "G",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.